boifilings.co
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Submitted URL: https://initialfile.com/index.php/campaigns/pz46527gj320a/track-url/jh681a6z2r3b7/dc7ff1db3daf662d36d2dda17df1a58d876ce885
Effective URL: https://boifilings.co/raj/
Submission: On November 18 via manual from US — Scanned from IS
Effective URL: https://boifilings.co/raj/
Submission: On November 18 via manual from US — Scanned from IS
Form analysis
1 forms found in the DOMPOST /raj/#wpcf7-f1082-p1092-o1
<form action="/raj/#wpcf7-f1082-p1092-o1" method="post" class="wpcf7-form init" aria-label="Contact form" enctype="multipart/form-data" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="1082">
<input type="hidden" name="_wpcf7_version" value="6.0">
<input type="hidden" name="_wpcf7_locale" value="en_US">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f1082-p1092-o1">
<input type="hidden" name="_wpcf7_container_post" value="1092">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7cf_hidden_group_fields" value="["transcript","additional-owners"]">
<input type="hidden" name="_wpcf7cf_hidden_groups" value="["group-38","group-39"]">
<input type="hidden" name="_wpcf7cf_visible_groups" value="[]">
<input type="hidden" name="_wpcf7cf_repeaters" value="[]">
<input type="hidden" name="_wpcf7cf_steps" value="{}">
<input type="hidden" name="_wpcf7cf_options"
value="{"form_id":1082,"conditions":[{"then_field":"group-38","and_rules":[{"if_field":"radio-241","operator":"equals","if_value":"Update to prior filing"}]},{"then_field":"group-39","and_rules":[{"if_field":"radio-244","operator":"equals","if_value":"Yes"}]}],"settings":{"animation":"yes","animation_intime":200,"animation_outtime":200,"conditions_ui":"normal","notice_dismissed":false}}">
</div>
<style>
.uacf7-prev,
.uacf7-next,
.wpcf7-submit {
padding-top: px !important;
padding-bottom: px !important;
padding-left: px !important;
padding-right: px !important;
}
</style>
<div class="uacf7-steps steps-form" style="display:none">
<div class="steps-row setup-panel">
<div class="steps-step"><a title-id=".step-1" data-form-id="1082" href="#1082step-1" type="button"></a>
</div>
<div class="steps-step"><a title-id=".step-2" data-form-id="1082" href="#1082step-2" type="button"></a>
</div>
<div class="steps-step"><a title-id=".step-3" data-form-id="1082" href="#1082step-3" type="button"></a>
</div>
</div>
</div>
<div class="uacf7-multisetp-form">
<div class="uacf7-form-1082">
<div class="uacf7-step uacf7-step-1082 step-content step-start" next-btn-text="" prev-btn-text="Previous" id="1082step-1" step-id="1" style="">
<div class="fields-group">
<span class="group-label">Applicant’s Name</span>
<div class="fields-group-inner">
<label>First Name <span class="required">(Required)</span><span class="wpcf7-form-control-wrap" data-name="first-name"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" autocomplete="name"
aria-required="true" aria-invalid="false" value="" type="text" name="first-name"></span></label><label>Last Name <span class="required">(Required)<span class="wpcf7-form-control-wrap" data-name="last-name"><input size="40"
maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" value="" type="text" name="last-name"></span></span></label>
</div>
</div>
<div class="fields-group">
<div class="fields-group-inner">
<label>Phone <span class="required">(Required)<span class="wpcf7-form-control-wrap" data-name="tel"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel"
id="phone" aria-required="true" aria-invalid="false" value="" type="tel" name="tel"></span></span></label><label>Email <span class="required">(Required)<span class="wpcf7-form-control-wrap" data-name="email"><input size="40"
maxlength="400" class="wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email" id="email" aria-required="true" aria-invalid="false" value="" type="email" name="email"></span></span></label>
</div>
</div>
<div class="fields-group">
<div class="fields-group-inner">
<label>Reporting Company Legal Name <span class="required">(Required)<span class="wpcf7-form-control-wrap" data-name="company"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="company"
aria-required="true" aria-invalid="false" value="" type="text" name="company"></span></span></label><label>Alternate Name (e.g. Trade Name, DBA, ABN) <span class="wpcf7-form-control-wrap" data-name="alternate-name"><input
size="40" maxlength="400" class="wpcf7-form-control wpcf7-text" id="alternate" aria-invalid="false" value="" type="text" name="alternate-name"></span></label>
</div>
</div>
<p>
<button class="uacf7-prev" data-form-id="1082">Previous</button>
<button class="uacf7-next" data-form-id="1082">Next</button>
<span class="wpcf7-spinner uacf7-ajax-loader"></span>
</p>
</div>
<div class="uacf7-step uacf7-step-1082 step-content" next-btn-text="" prev-btn-text="" id="1082step-2" step-id="2" style="display: none;">
<div class="fields-single">
<label>Tax ID/EIN, or SSN associated with the Company (include dashes) <span class="required">(Required)<span class="wpcf7-form-control-wrap" data-name="taxid"><input size="40" maxlength="400"
class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="tax" aria-required="true" aria-invalid="false" value="" type="text" name="taxid"></span></span></label>
</div>
<div class="fields-single">
<label>Date of Business Formation <span class="required">(Required)<span class="wpcf7-form-control-wrap" data-name="business-date"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="date"
aria-required="true" aria-invalid="false" value="" type="text" name="business-date"></span></span></label>
</div>
<div class="fields-single">
<label>State of Business Formation <span class="required">(Required)<span class="wpcf7-form-control-wrap" data-name="business-state"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required"
id="state" aria-required="true" aria-invalid="false" value="" type="text" name="business-state"></span></span></label>
</div>
<div class="fields-single">
<label>Current Business Address <span class="required">(Required)<span class="wpcf7-form-control-wrap" data-name="current-address"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required"
id="address" aria-required="true" aria-invalid="false" value="" type="text" name="current-address"></span></span></label>
</div>
<div class="fields-single">
<span>Update to Prior Filing<span class="prior">(Select this option only if you have already submitted a BOIR and need to correct or update your company’s information. Do NOT select this for initial filings.)</span></span> <span
class="wpcf7-form-control-wrap" data-name="radio-241"><span class="wpcf7-form-control wpcf7-radio" id="initial"><span class="wpcf7-list-item first"><label><input type="radio" name="radio-241" value="Initial filing" checked="checked"><span
class="wpcf7-list-item-label">Initial filing</span></label></span><span class="wpcf7-list-item last"><label><input type="radio" name="radio-241" value="Update to prior filing"><span class="wpcf7-list-item-label">Update to prior
filing</span></label></span></span></span>
</div>
<div data-id="group-38" data-orig_data_id="group-38" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
<div class="fields-single">
<span class="provide" style="display:block;">Provide prior transcript below</span>
<span class="wpcf7-form-control-wrap" data-name="transcript"><input size="40" class="wpcf7-form-control wpcf7-file" accept=".jpg,.png,.jpeg,.pdf,.heic,.webp,.bmp,.svg" aria-invalid="false" type="file" name="transcript"></span>
</div>
</div>
<div class="fields-single">
<label>Notes (for update to prior filing, indicate changes below) <span class="required">(Required)<span class="wpcf7-form-control-wrap" data-name="notes"><textarea cols="40" rows="10" maxlength="2000"
class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required" id="notes" aria-required="true" aria-invalid="false" name="notes"></textarea></span></span></label>
</div>
<p>
<button class="uacf7-prev" data-form-id="1082">Previous</button>
<button class="uacf7-next" data-form-id="1082">Next</button>
<span class="wpcf7-spinner uacf7-ajax-loader"></span>
</p>
</div>
<div class="uacf7-step uacf7-step-1082 step-content step-end" next-btn-text="" prev-btn-text="" id="1082step-3" step-id="3" style="display: none;">
<span class="group-label">Residential Address</span>
<div class="fields-group">
<div class="fields-group-inner">
<label>Street Address <span class="wpcf7-form-control-wrap" data-name="res-address-1"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text" id="address3" aria-invalid="false" value="" type="text"
name="res-address-1"></span></label><label>Address Line 2 <span class="wpcf7-form-control-wrap" data-name="res-address-2"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text" id="address4" aria-invalid="false"
value="" type="text" name="res-address-2"></span></label>
</div>
</div>
<div class="fields-group">
<div class="fields-group-inner">
<label>City <span class="wpcf7-form-control-wrap" data-name="city"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text" id="city2" aria-invalid="false" value="" type="text" name="city"></span></label><label>State <span
class="wpcf7-form-control-wrap" data-name="state"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text" aria-invalid="false" value="" type="text" name="state"></span></label>
</div>
</div>
<div class="fields-group">
<div class="fields-group-inner">
<label>ZIP / Postal Code <span class="wpcf7-form-control-wrap" data-name="zip"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text" id="ZIP" aria-invalid="false" value="" type="text"
name="zip"></span></label><label>Country <span class="wpcf7-form-control-wrap" data-name="country"><select class="wpcf7-form-control wpcf7-select" aria-invalid="false" name="country">
<option value="United States">United States</option>
<option value="Canada">Canada</option>
<option value="Mexico">Mexico</option>
<option value="United Kingdom">United Kingdom</option>
<option value="-----">—–</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire">Bonaire</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island (Bouvetoya)">Bouvet Island (Bouvetoya)</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory (Chagos Archipelago)">British Indian Ocean Territory (Chagos Archipelago)</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea">Korea</option>
<option value="Korea">Korea</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyz Republic">Kyrgyz Republic</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory">Palestinian Territory</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn Islands">Pitcairn Islands</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthelemy">Saint Barthelemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten (Netherlands)">Sint Maarten (Netherlands)</option>
<option value="Slovakia (Slovak Republic)">Slovakia (Slovak Republic)</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia & S. Sandwich Islands">South Georgia & S. Sandwich Islands</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard & Jan Mayen Islands">Svalbard & Jan Mayen Islands</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
<option value="U.S. Minor Outlying Islands">U.S. Minor Outlying Islands</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select></span></label>
</div>
</div>
<div class="fields-single">
<label>Beneficial Ownership Information <span class="wpcf7-form-control-wrap" data-name="ownership"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text" id="owner" aria-invalid="false" value="" type="text"
name="ownership"></span></label>
</div>
<div class="fields-single">
<div class="fields-single">
<span class="group-label">Is there more than one owner of this company?</span> <span class="wpcf7-form-control-wrap" data-name="radio-244"><span class="wpcf7-form-control wpcf7-radio"><span class="wpcf7-list-item first"><label><input
type="radio" name="radio-244" value="No" checked="checked"><span class="wpcf7-list-item-label">No</span></label></span><span class="wpcf7-list-item last"><label><input type="radio" name="radio-244" value="Yes"><span
class="wpcf7-list-item-label">Yes</span></label></span></span></span>
</div>
<div data-id="group-39" data-orig_data_id="group-39" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
<div class="fields-single">
<span class="wpcf7-form-control-wrap" data-name="additional-owners"><textarea cols="40" rows="10" maxlength="2000" class="wpcf7-form-control wpcf7-textarea" aria-invalid="false" placeholder="Full Name, Address
Full Name, Address
Full Name, Address..." name="additional-owners"></textarea></span>
</div>
</div>
</div>
<div class="fields-single">
<label>Terms <span class="wpcf7-form-control-wrap" data-name="checkbox-258"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required"><span class="wpcf7-list-item first last"><label><input type="checkbox"
name="checkbox-258[]" value="I agree to terms and conditions."><span class="wpcf7-list-item-label">I agree to terms and conditions.</span></label></span></span></span></label>
</div>
<div class="fields-single">
<span class="group-label form-price">Price: $250</span>
</div>
<div class="fields-single">
<div class="wpcf7-stripe">
<div class="wpcf7-form-control-wrap hidden">
<div class="card-element wpcf7-form-control" aria-invalid="false"></div>
</div> <span class="buttons has-spinner"><button type="submit" class="first">Proceed to checkout</button> <button type="button" class="second hidden">Pay now</button></span><span class="wpcf7-spinner"></span> <input type="hidden"
name="_wpcf7_stripe_payment_intent" value="">
</div>
</div>
</div>
</div>
<div class="wpcf7-response-output" aria-hidden="true"></div>
</div><input type="hidden" name="vx_width" value="1600"><input type="hidden" name="vx_height" value="1200"><input type="hidden" name="vx_url" value="https://boifilings.co/raj/">
</form>
Text Content
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